Abstract
Background:Diabetes being a serious health issue faced by developing countries with drug adherence having pivot role for recommendedglycaemictarget. This study aimsto determine drug non-adherence in type 2 diabetics and its predictors and associations. Methods:This cross sectional study was conducted after ethical approval at Medicine Dept. Rawal Institute of Health Sciences Islamabad over 10 months duration.Demographic details, duration of diabetes, education, socioeconomic class, glycaemic control, mode of anti-diabetic therapy, number of medications and other modes of therapydocumented. Michigan Diabetes Knowledge Questionnaireapplied with outcome as good, acceptable and poor knowledge. Drug adherencewasassessed by Morisky Medication Adherence Scale (non-adherence at <6 points).Data analysed via SPSS version 17with significant p-value <0.05.Results: Among183diabetics there were43(23.5%) males and 140(76.5%) females. Mean age was 56.6±10.6 years and mean duration of diabetes 8.4±6.57 years.One hundred and fourteen (62%) cases were non-adherent.Diabetes knowledge was poor in76(41.5 %), acceptable in76(41.5 %) and good in 31(16.9%).Un-satisfactory glycaemic control present in 149(81.4%). Non-adherence was found to be associated with poor glycaemic control, poor dietary adherence, poly-pharmacy, illiteracy, practicing other modes of therapy and poor diabetes knowledge (p<0.05). Conclusion:Non-adherence to medication in type 2 diabetics needs to be addressed. Suggested contributory factors areilliteracy, practicing other modes of therapy, poordiabetes knowledge and poly-pharmacy. Public awareness programs, self-monitoring of blood sugars, regular follow-up visits with focus at patient education may improveglycaemic control and diabetes related complication
Dr. Nadia Shams,, Sadia Amjad, Naresh Kuma, Waqar Ahmed, , Faiza Saleem. (2016) DRUG NON-ADHERENCE IN TYPE 2 DIABETES MELLITUS; PREDICTORS AND ASSOCIATIONS, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 28, Issue 2.
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